2020 Tufts Health Plan Senior Care Options

OTC Savings Guide

2

DailyCare+ Card

Jan Feb Mar

Apr May Jun

Jul Aug Sep

Oct Nov Dec

New benefit for 2020— you get $25 to spend every 3 months!Effective Jan. 1, you get $25 to spend every quarter on approved personal care products

at a participating store. The list of items you can buy with your card is on the next page.

At the beginning of each of the four calendar

quarters (see right), your card is loaded with $25.

That’s $100 a year!

Your balance does not carry over, so try to spend the

full $25 before the end of each quarter.

Don’t throw out your card—it will be reloaded at the

start of the next calendar quarter.

Make sure you present your DailyCare+ card at the register when purchasing your items.

How it works:

Use your card at the following stores:

$25

$25

$25

$25

3

Covered Items

Eye and Ear Care Ear Plugs & Protection

Feminine Personal Care Deodorants & Powders

Douches

Feminine Anti-Itch

Feminine Moisturizers

Wipes & External Washes

Foot Care Odor & Wetness Powders

Odor & Wetness Sprays

Mixed/Miscellaneous Odor & Wetness Treatments

Hair Care Shampoo

Conditioner

Therapeutic Shampoo, Conditioner, & Scalp Treatment

Household Products Bath Tissue

Oral Care Mouthwash

Patient Cleansing and Bathing

Cleansers & Washes

Wipes & Towelettes

Physical Fitness and Exercise Equipment

Scales (Includes Body Fat Analyzers)

Shaving and Grooming Razors & Refills (Disposable & Reusable)

Skin Care Body Cleansing Liquids (Body Washes & Gels)

Hand & Body Cleansing Bars (Soap)

Hand Cleansing Liquids

Instant Hand Sanitizers

Mixed/Miscellaneous Hand & Body Cleansing (Towelettes, Foaming, etc.)

Beauty Hand & Body Moisturizers

Therapeutic Hand & Body Moisturizers

Therapeutic Hand & Body Treatments

• Alternative medicines (botanicals, herbals, probiotics, and nutraceuticals)

• Baby medicines

• Cosmetic products of any kind

• Dehydration drinks

• Food products or supplements

• Hair color

• Perfumes

• Teeth whitening strips/ treatment

Non-Covered Items (examples)

4

Jan Feb Mar

Apr May Jun

Jul Aug Sep

Oct Nov Dec

You get $105 to spend every 3 months!

Continuing in 2020, you get $105 to spend every quarter on health-related items at a

participating store. The list of items you can buy with your card is in this booklet.

At the beginning of each of the four calendar

quarters (see right), your card is loaded with $105.

That’s $420 a year!

Your balance does not carry over, so try to spend the

full $105 before the end of each quarter.

Don’t throw out your card—it will be reloaded at the

start of the next calendar quarter.

Make sure you present your Instant Savings Card at the register when purchasing your items.

How it works:

Use your card at the following stores:

$105

$105

$105

$105

Instant Savings Card

5

6

What’s covered with your Instant Savings Card

In order to fully utilize your SCO Instant

Savings Card benefit, below is a list of

the products that you can purchase with

your card. Tufts Health Plan Senior Care

Options has included color-coding to

provide direction on how best to access

each item. Please note, some items may

also be available with a prescription from

your provider and at no cost to you. Using

this option would allow you to put your

Instant Savings Card quarterly allowance

towards other covered items.

Color code:

Item is covered with a prescription from

your physician and at no cost to you. If

you choose to purchase the item using

your SCO Instant Savings Card quarterly

allowance, no prescription is needed.

Item can be purchased using your SCO

Instant Savings Card quarterly allowance.

Please check with your health care provider

or Care Manager prior to purchasing the

item using your SCO Instant Savings Card

quarterly allowance.

Cold & Allergy

Adult Cough, Cold & Flu Cough, Cold & Flu Liquids

Cough, Cold & Flu Tabs

Mixed/Miscellaneous Adult Cough, Cold & Flu

Cold & Flu Preventatives/Symptom Reducers

Brand Name Cough, Cold & Flu

Generic Cough, Cold & Flu

Cough Drops, Sore Throat Relief Sore Throat Pain Relief

Throat & Cough Drops

Mixed/Miscellaneous Cough Drops, Sore Throat Relief

Brand Name Cough Drops, Sore Throat Relief

Generic Cough Drops, Sore Throat Relief

Allergy, Sinus & Combinations Allergy, Sinus & Combination Liquids

Allergy, Sinus & Combination Tabs

Mixed/Miscellaneous Allergy, Sinus & Combinations

Brand Name Allergy, Sinus & Combinations

Generic Allergy, Sinus & Combinations

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Nasal Nasal Sprays, Drops & Inhalers

Nasal Moisturizing Products & Washes

Nasal Strips & Snore Relief

Mixed/Miscellaneous Nasal

Brand Name Nasal

Generic Nasal

Respiratory Treatments Vapor Products (Includes Waterless Vaporizers)

Vaporizers, Humidifiers & Accessories

Mixed/Miscellaneous Respiratory Treatments

Compression Hosiery

Support Hose—Low Compression (8–15 mmHg)

Mixed/Miscellaneous Support Hose & Accessories

Men’s Support Hose

Women’s Support Hose-Knee High

Women’s Support Hose-Thigh High

Women’s Support Hose-Full & Maternity

Athletic Support Socks

Brand Name Support Hose

Generic Support Hose

Medical Support—High Compression (Over 15 mmHg)

Mixed/Miscellaneous Medical Support & Accessories

Knee High Medical Support

Thigh High Medical Support

Waist High Medical Support

Lymphedema Treatments (Sleeves, Socks, Pumps, Etc.)

Women’s High Compression Support Hose - Full & Maternity

Brand Name Medical Support

Generic Medical Support

Diabetes Care

Diabetes Care Accessories Mixed/Miscellaneous Diabetes Care Accessories

Alcohol Swabs

Brand Name Diabetes Care Accessories

Generic Diabetes Care Accessories

Diabetes Nutritionals & Wellness Diabetes Supplements

Diabetes Health & Personal Care Diabetes Skin Care & External Pain Relief

Urine Testing Urine Test Strips

Urine Test Tablets

Mixed/Miscellaneous Urine Testing

Brand Name Urine Testing

Generic Urine Testing

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Digestive Health

Stomach Remedies Antacid Liquids

Antacid Tabs & Other Forms

Antacid Effervescent

Multi-Symptom & Nausea Products

Mixed/Miscellaneous Stomach Remedies

Brand Name Antacids

Generic Antacids

Acid Controllers Acid Controllers

Mixed/Miscellaneous Stomach Acid Controllers

Brand Name Acid Controllers

Generic Acid Controllers

Laxatives Fiber Products

Enemas, Laxative Suppositories, Kits, Etc.

Laxative Tabs & Powders (Includes Combination Products)

Laxative Liquids (Includes Combination Products)

Stool Softeners

Mixed/Miscellaneous Laxatives

Brand Name Laxatives

Generic Laxatives

Anti-Diarrheals Anti-Diarrheal Tabs

Anti-Diarrheal Liquids

Mixed/Miscellaneous Anti-Diarrheals

Brand Name Anti-Diarrheals

Generic Anti-Diarrheals

Lactose Intolerance & Digestive Aids

Lactose Intolerance

Generic Digestive Aids

Digestive Health Prebiotics & Probiotics

Anti-Gas Anti-Gas Products

Mixed/Miscellaneous Anti-Gas

Brand Name Anti-Gas

Generic Anti-Gas

Hemorrhoidal Preparations Hemorrhoidal Treatments

Hemorrhoidal Wipes & Washes

Mixed/Miscellaneous Hemorrhoidal Preparations

Brand Name Hemorrhoidal Preparations

Generic Hemorrhoidal Preparations

Color code can be found on page 6.

9

Eye & Ear Care

Contact Lens Care Soft Lens Multi-Purpose Solutions

Soft Lens Disinfecting

Soft Lens Saline Solutions

Soft Lens Cleaners

Soft Lens Rewetting Drops

Gas Permeable & Hard Lens Care

Mixed/Miscellaneous Contact Lens Care

Brand Name Contact Lens Care

Generic Contact Lens Care

Reading Glasses & Magnifying Glasses

Reading Glasses

Magnifying Glasses

Mixed/Miscellaneous Reading Glasses & Magnifying Glasses

Eye Preparations Eye Relief Products

Dry Eye Relief

Eye Wash

Mixed/Miscellaneous Eye Preparations (Includes Sleep Masks)

Brand Name Eye Preparations

Generic Eye Preparations

Ear Care Ear Drops & Syringes

Hearing Aids

Lipoflavonoids

Mixed/Miscellaneous Ear Care

Brand Name Ear Care

Generic Ear Care

Electrical & Audio

Batteries Hearing Aid Batteries (Standard & High Performance)

First Aid

First Aid Dressings Adhesive & Liquid Bandages

First Aid Tapes

Gauze Pads & Dressings

Mixed/Miscellaneous First Aid Dressings

Surgical Bandages & Surgical Dressings

Brand Name First Aid Dressings

Generic First Aid Dressings

10

First Aid Treatments Antibiotic Products

Antiseptics & Medicated Products (Includes Alcohol, Peroxide, Epsom Salt, Etc.)

Mixed/Miscellaneous First Aid Treatments

Skin Remedies (Includes Burn & Scar Treatments)

Skin Protectants (Includes Petroleum Jelly)

Wound Cleansers (Salines)

Brand Name First Aid Treatments

Generic First Aid Treatments

Antiparasitic Treatments Lice Treatments & Accessories

Mixed/Miscellaneous Antiparasitic Treatments & Accessories

Brand Name Antiparasitic Treatments

Generic Antiparasitic Treatments

First Aid Kits & Supplies First Aid Kits

Mixed/Miscellaneous First Aid Kits & Supplies

Brand Name First Aid Kits & Supplies

Generic First Aid Kits & Supplies

Anti-Itch Treatments Hydrocortisone Products

Anti-Itch Treatments (Excludes Hydrocortisone), Jock Itch & Insect Bite Remedies

Mixed/Miscellaneous Anti-Itch Treatments

Brand Name Anti-Itch Treatments

Generic Anti-Itch Treatments

Home Health Care

Bathroom Safety Bathtub Safety & Accessories

Bathtub & Toilet Rails & Frames

Elevated Toilet Seats & Accessories

Grab Bars & Handles

Sitz Baths & Bidets

Hand Held Showers

Mixed/Miscellaneous Bathroom Safety

Color code can be found on page 6.

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Home Diag & Patient Aids For Daily Living

Patient Aids For Daily Living Nightlights, Safety Lights

Bathing & Oral Hygiene Aids (Example: Bath Seats, Toothbrush Modifiers)

Mobility Safety: Stair Rails, Stair Treads, Temporary Mobility Ramps

Grooming & Dressing Aids (Example: Dressing Stick, Long Handle Shoehorn)

Medical Alert IDs & Devices

Medicine Dosers, Pillboxes, Pill Cutters, Organizers & Reminders

Reachers, Grippers & Lifts

Reading, Writing & Telephone Aids

Foot Care

Foot Cushioning & Treatments Corn, Callus & Bunion Pads

Corn & Callus Removers

Antifungal Treatments Antifungal Powders

Antifungal Creams & Liquids

Antifungal Sprays

Nail Fungus Treatments

Mixed/Miscellaneous Antifungal Treatments

Brand Name Antifungal Treatments

Generic Antifungal Treatments

Wart Removers Pads & Liquids

Mixed/Miscellaneous Wart Removers

Brand Name Pads & Liquids

Generic Pads & Liquids

Foot Grooming & Pain Relief Foot Pain Relief

Health Supports

Braces Ankle & Foot

Hand & Wrist

Elbow & Arm

Knee

Thigh, Calf & Shin

Joint Warmers & Arthritis

Mixed/Miscellaneous Braces

Brand Name Braces

Generic Braces

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Hot/Cold Therapy Hot/Cold Therapy

Heating Pads (Electric)

Mixed/Miscellaneous Hot/Cold Therapy

Brand Name Hot/Cold Therapy

Generic Hot/Cold Therapy

Incontinence

Disposable Incontinence Disposable Underwear

Disposable Briefs & Undergarments

Disposable Underpads

Disposable Pads, Shields, Guards & Drip Collectors

Mixed/Miscellaneous Disposable Incontinence

Brand Name Disposable Incontinence

Generic Disposable Incontinence

Reusable Incontinence Reusable Garments

Reusable Underpads

Mixed/Miscellaneous Reusable Incontinence

Brand Name Reusable Incontinence

Generic Reusable Incontinence

Incontinence Supplies Perineal-Only Cleansers & Washes

Perineal-Only Wipes & Towelettes

Perineal-Only Moisturizers, Barriers & Protectants

Perineal-Only Antifungals

Deodorizers

Mixed/Miscellaneous Incontinence Supplies

Brand Name Incontinence Supplies

Generic Incontinence Supplies

Oral Care

Toothpaste & Treatments Regular Toothpaste & Toothpowder

Sensitive Toothpaste & Treatments

Mixed/Miscellaneous Toothpaste & Treatments

Brand Name Toothpaste & Treatments

Generic Toothpaste & Treatments

Toothbrushes Manual Toothbrushes

Battery Toothbrushes & Refills

Rechargeable Toothbrushes & Refills

Mixed/Miscellaneous Toothbrushes & Accessories

Brand Name Toothbrushes

Generic Toothbrushes

Color code can be found on page 6.

13

Denture Products Denture Adhesives

Denture Cleaners & Accessories

Denture Repair & Pain Relief

Mixed/Miscellaneous Denture Products

Brand Name Denture Products

Generic Denture Products

Interdental, Gum Care, Etc. Floss & Flossers

Interdental

Gum Care

Dental Gum

Mixed/Miscellaneous Interdental, Gum Care, Etc.

Brand Name Interdental, Gum Care, Etc.

Generic Interdental, Gum Care, Etc.

Oral Remedies Oral Pain Relief & Mouth Sores

Dry Mouth Products

Temporary Dental Repair

Mixed/Miscellaneous Oral Remedies (Includes Fluoride Treatments)

Brand Name Oral Remedies

Generic Oral Remedies

Pain Relief

Adult Pain Relief Adult Acetaminophen

Feminine Pain Relief

Adult Aspirin & Combinations

Adult Ibuprofen & Other Anti-Inflammatories

Mixed/Miscellaneous Adult Pain Relief

Adult Specialty (Includes Topical Headache & Fever Relief)

Brand Name Adult Pain Relief

Generic Adult Pain Relief

External Pain Relief External Muscle/Joint Pain Relief Patches & Pads

External Muscle/Joint Pain Relief Rubs & Liquids

External Muscle/Joint Pain Relief Liquids, Roll-ons and Sprays

Mixed/Miscellaneous External Pain Relief

Brand Name External Pain Relief

Generic External Pain Relief

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Patient Skin Care

Patient Skin Support Moisturizers, Barriers & Protectants

Antifungals

Mixed/Miscellaneous Patient Skin Support

Brand Name Patient Skin Support

Generic Patient Skin Support

Physical Fitness & Exercise Equipment

Physical Fitness Pedometers, Fitness Trackers

Skin Care

Acne Medications (Face & Body) Acne Creams, Gels, Lotions & Patches

Acne Soaps & Cleansers

Acne Astringents & Pads

Mixed/Miscellaneous Acne Medications

Brand Name Acne Medications

Generic Acne Medications

Smoking Deterrents

Nicotine Patches, Gum, Etc. Nicotine Patches

Nicotine Gum

Mixed/Miscellaneous Nicotine Patches, Gum, Etc.

Brand Name Smoking Deterrents

Generic Smoking Deterrents

Sun Care

Adult Sun Protection (SPF 15+) Sun Protection (SPF 15–49)

Sun Protection (SPF 50+)

Mixed/Miscellaneous Sun Protection (SPF 15+)

Lip Protection (Sun Care Lines Only)

Sport Sun Protection

Brand Name Sun Protection (SPF 15+)

Generic Sun Protection (SPF 15+)

Color code can be found on page 6.

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Vitamins/Dietary Supplements

Multivitamins & Multivitamins w/Minerals

Adult Multivitamins & Multivitamins w/Minerals

Eye Health Vitamins

Mixed/Miscellaneous Multivitamins & Multivitamins W/Minerals

Brand Name Multivitamins & Multivitamins w/Minerals

Generic Multivitamins & Multivitamins w/Minerals

Specialty Supplements Joint Health (Incl. Glucosamine)

Menopause Support (Soy)

CoQ10 Only (UBIQUINOL)

Heart Health & Essential Fatty Acids (Fish Oil, Flax, GLA, etc.)

General Health Prebiotics & Probiotics

Single-Entity Vitamins Vitamin B & Vitamin B Complex

Vitamin C

Vitamin E

Mixed/Miscellaneous Single Entity Vitamins

Vitamin D

Brand Name Single Entity Vitamins

Generic Single Entity Vitamins

Mineral Supplements Calcium

Iron

Mixed/Miscellaneous Mineral Supplements

Multi-Mineral

Brand Name Mineral Supplements

Generic Mineral Supplements

Tufts Health Plan Senior Care Options (SCO) is an HMO-SNP plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medic-aid program. Enrollment in Tufts Health Plan depends on contract renewal. The SCO plan is available to those 65 and older who have MassHealth Standard (Medicaid). H2256_S_2020_31_C

With the OTC Network® mobile app

Check card

balance.

Choose a

participating retailer.

Discover item eligibility

by the scan of a barcode.

New:Benefits at Your Fingertips!

As an OTC Network® cardholder, you now have instant access

to your card account. The OTC Network® mobile app allows you

to keep track of your card balance and easily find eligible items

when shopping at participating retailers—right at your fingertips,

24 hours a day, seven days a week.

For more OTC Network® card information, visit otcnetwork.com.

If you have any questions about your Instant Savings or DailyCare+ card, please

contact Tufts Health Plan Senior Care Options (HMO-SNP) Customer Relations at

1-855-670-5934 (TTY: 711)* for specific instructions on using this benefit.

For card services, including checking your balance and finding an accepted retailer,

call OTC Network at 1-888-682-2400 or go to www.myotccard.com. You can also

view this information on your mobile phone with the OTC Network app.